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[Anesthetic management for cesarean section of a patient with transient diabetes insipidus and acute severe liver dysfunction].
Masui. 1993 Oct; 42(10):1511-6.M

Abstract

A 26-year old woman presented with acute hepato-renal dysfunction, coagulation abnormalities and diabetes insipidus associated with hypernatremia in the latter term of pregnancy (39 weeks). Such transient diabetes insipidus during pregnancy as in this case has been reported to be resistant to AVP, but to respond to DDAVP. Because of fetal compromise, an urgent cesarean section was performed. Spinal anesthesia was chosen because of the possible deleterious effects of general anesthesia on liver function. After delivery of twin babies, her symptoms recovered gradually. In conclusion, diabetes insipidus during pregnancy as in this case is transient and disappear after delivery. However, multiple organ dysfunction may become worse and cause fetal death, unless surgical procedure with appropriate anesthetic management is performed.

Authors+Show Affiliations

Department of Anesthesiology, Hyogo College of Medicine.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

8230705

Citation

Fukuda, T, et al. "[Anesthetic Management for Cesarean Section of a Patient With Transient Diabetes Insipidus and Acute Severe Liver Dysfunction]." Masui. the Japanese Journal of Anesthesiology, vol. 42, no. 10, 1993, pp. 1511-6.
Fukuda T, Okutani R, Kono K, et al. [Anesthetic management for cesarean section of a patient with transient diabetes insipidus and acute severe liver dysfunction]. Masui. 1993;42(10):1511-6.
Fukuda, T., Okutani, R., Kono, K., Yoshimura, Y., & Ochiai, N. (1993). [Anesthetic management for cesarean section of a patient with transient diabetes insipidus and acute severe liver dysfunction]. Masui. the Japanese Journal of Anesthesiology, 42(10), 1511-6.
Fukuda T, et al. [Anesthetic Management for Cesarean Section of a Patient With Transient Diabetes Insipidus and Acute Severe Liver Dysfunction]. Masui. 1993;42(10):1511-6. PubMed PMID: 8230705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anesthetic management for cesarean section of a patient with transient diabetes insipidus and acute severe liver dysfunction]. AU - Fukuda,T, AU - Okutani,R, AU - Kono,K, AU - Yoshimura,Y, AU - Ochiai,N, PY - 1993/10/1/pubmed PY - 1993/10/1/medline PY - 1993/10/1/entrez SP - 1511 EP - 6 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 42 IS - 10 N2 - A 26-year old woman presented with acute hepato-renal dysfunction, coagulation abnormalities and diabetes insipidus associated with hypernatremia in the latter term of pregnancy (39 weeks). Such transient diabetes insipidus during pregnancy as in this case has been reported to be resistant to AVP, but to respond to DDAVP. Because of fetal compromise, an urgent cesarean section was performed. Spinal anesthesia was chosen because of the possible deleterious effects of general anesthesia on liver function. After delivery of twin babies, her symptoms recovered gradually. In conclusion, diabetes insipidus during pregnancy as in this case is transient and disappear after delivery. However, multiple organ dysfunction may become worse and cause fetal death, unless surgical procedure with appropriate anesthetic management is performed. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/8230705/[Anesthetic_management_for_cesarean_section_of_a_patient_with_transient_diabetes_insipidus_and_acute_severe_liver_dysfunction]_ L2 - http://www.diseaseinfosearch.org/result/2238 DB - PRIME DP - Unbound Medicine ER -